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The University of New England College of Osteopathic Medicine (UNECOM) Hospice Immersion project was piloted in 2014 in southern Maine. It was designed and implemented as an experiential medical education learning model whereby medical students were “admitted” into the local Hospice Home to live there for 48 hours. Until this project, palliative and end of(More)
This study examined the effect of an ethics course on the variables of ethical choice and ethical action in baccalaureate nursing students. Data were collected from 17 students who were enrolled in a three-credit elective course in ethics and from 20 students who were matched for placement in the curriculum but who were not enrolled in the ethics course.(More)
Traditional approaches to descriptive ethics data analysis do not explicate the nature of ethical dilemmas in critical care and emergency nursing. Using sensitizing concepts of causes of nurse compassion, 168 stories of ethical dilemmas were categorized. They were analyzed from the theoretical perspective of an ethic of care using casuistry. Paradigm cases(More)
Competency in ethical decision making is an identified expectation of the baccalaureate degree graduate. Values, both personal and professional, do not provide a systematic foundation for ethical decision making. The nurse is a unique health care provider and as such is faced with ethical decision of practice that are derived from and are relevant to that(More)
Ethical decision making is an inherent part of the clinical judgment process in critical care nursing. It can cause considerable mental discomfort and stress. Although applying ethical theories to the clinical decision-making process does not provide absolute solutions, it does increase the nurse's confidence in the basis on which the decisions are made.(More)
Critical care nursing by definition focuses on human responses to life-threatening problems. An increasing number of ethical dilemmas confronts the critical care nurse. A traditional principled orientation to ethical reasoning requires detachment that does not acknowledge the special nature of the nurse-patient relationship and, by itself, does not give(More)
The request of a ventilator-dependent quadriplegic person to be removed from the ventilator presents the health care team with an ethical dilemma. Application of ethical principles to case facts guides the decision maker. The ethical principle of autonomy requires that persons be respected and free to determine their course in life. The ethical principle of(More)